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Pharmacists, tired of evening and weekend work?
Imagine creating a solid future for yourself, while changing the way the world works and plays. If you can imagine it, you can do it at EDS.
WHY EDS: EDS offers employees a broad and unparalleled range of career growth and advancement opportunities based on individual performance and merit. EDS has competitive compensation and an industry leading full benefits package, paid holidays, retirement plan, and more. At EDS we thrive on diversity and team spirit. We are committed to being a great place to work, a trusted business partner and an attractive investment for your career.
LOCATIONS:
Sacramento (Rancho Cordova & Downtown) | Stockton | Los Angeles
POSITION OVERVIEW:
* Under general direction, provides pharmaceutical expertise to staff and management within a health care account. * Monitors the maintenance of the drug data file to ensure accuracy and currency of files. * Acts as a liaison to pharmaceutical providers resolving problems. * Recommends and promotes beneficial changes to customer programs. * Assists in adjudication of complicated claims, interpreting and applying state regulations of claims processes. * Participates in customer policy and rate development. * Provides assistance in drafting provider manuals, bulletins and revisions to provider publications. * Assists in the development of methods and coding systems for computerized processing of claims. * Represents EDS in professional associations. * Must hold current CA Pharmacy license.
ESSENTIAL FUNCTIONS...
* Ability to monitor accuracy and resolve problems related to drug data files * Ability to analyze, review and adjudicate pharmaceutical prior authorization requests and/or insurance claims * Ability to develop and recommend enhancements to customer programs related to pharmaceutical processes * Ability to develop pharmacy-related policies, rates, and procedures
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Thank you for your interest! Choose EDS to help you with your next career opportunity...
APPLICANTS ONLY PLEASE
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